Healthcare Provider Details

I. General information

NPI: 1811714975
Provider Name (Legal Business Name): ASHLEY BAILY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-449 AKOKI ST STE 102
WAIPAHU HI
96797-2732
US

IV. Provider business mailing address

55-238 KAMEHAMEHA HWY UNIT E
LAIE HI
96762-1156
US

V. Phone/Fax

Practice location:
  • Phone: 808-671-5511
  • Fax:
Mailing address:
  • Phone: 808-342-9780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH-4792
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: